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National Council Licensure Examination(NCLEX-PN) Questions 346–350 (page: 71)

Updated On: 9-Feb-2026

In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). Which type of physician this client is likely to have a consult with?

  1. gynecologist
  2. physiatrist
  3. urologist
  4. proctologist

Answer(s): C

Explanation:

A urologist is the physician who specializes in urinary tract and prostatic disease. A gynecologist specializes in disease of the female reproductive tract.
A physiatrist specializes in rehabilitation care.
A proctologist specializes in lower colonic digestive diseases.



A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated.

This assessment is based on all of the following indicators except ______________.

  1. the client has been admitted to the hospital three times in the last 2 months.
  2. the client has a Foley catheter.
  3. the client’s family is available to care for him 24 hours a day.
  4. the client is ordered to continue IV antibiotics 5 days post discharge.

Answer(s): C

Explanation:

Family availability to provide care and assistance is not an indicator for skilled home care.
In fact, the nurse might see some opportunity for family education in meeting the client’s needs so that less community support is needed. This needs to be negotiated with the family.
Frequent hospital readmissions imply that the client has not been able to manage either due to condition instability or lack of care needs being met. This is a red flag for home care services to be able to meet those needs and appropriately monitor the client.
A Foley catheter is an indication for home health care due to infection potential and care requirements. IV antibiotics involve home care due to maintaining line patency and assessment of the site.



As a type of quality indicator, an example of a structure standard is ______________.

  1. a written philosophy.
  2. a procedure for a straight catheterization.
  3. a protocol for treatment of a client with chest pain.
  4. the diagnostic work-up for a client with abdominal pain.

Answer(s): A

Explanation:

Structure standards define all the conditions needed to operate, direct, and control a system.
They do not address client care but rather describe structure with regard to purpose, such as philosophy, objectives, goals, hours of operation, and management responsibility.



All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except ______________.

  1. monitoring intravenous infusion.
  2. assisting a client to the bathroom.
  3. offering fluid intake every 1-2 hours.
  4. monitoring/recording the amount of fluid taken.

Answer(s): A

Explanation:

Monitoring an intravenous infusion must be performed by an RN or LPN.
Assisting during activity, offering fluids and recording intake are in the job scope of the nursing assistant.



The nurse uses prioritization to determine all the following except ______________.

  1. time allotment for certain tasks
  2. appropriate interventions
  3. treatment procedures
  4. the need for client education

Answer(s): C

Explanation:

Treatment procedures are standards of care as defined by the facility or nursing unit. If a treatment is indicated, the nurse is obligated to follow the established procedure to be compliant with practice standards.
Established priorities contribute to the determination of time management, appropriate interventions, and the need for client education as a potential intervention.



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